World Class Kidney Stone Treatment
When it comes to state of art kidney stone treatment, you get the best options and expertise with Dr. Raman. North India’s first Hyperphotonics laser makes scarless laser treatment safe and effective. In this page you will get a basic idea of what various surgeries are, when you need them and which one you should choose.
Can your stone be treated with just medicines ?
The first thing to understand is wether your stone can be managed with just medicines. Usually kidney stones less than 8 mm can be managed with medicines. Occasionally smaller stones that are stuck in the pipe of the kidney called the ureter also require removal but usually most ureteric stone less than 5mm can be managed with medicines.
Stones in the lower half of the pipe of the kidney are removed by a surgery called uretero-reno-scopy (URS) while stones in the kidney are managed with either lithotripsy (ESWL) or laser surgery such as RIRS or PCNL. Lets understand them in greater details.
Lithotripsy uses sound waves to break stones without surgery. There is no needle, no scars and no need for anesthesia.
ESWL requires 2 to 3 sittings to break stones and stones pass out naturally through the kidney pipe called the ureter.
It is the easiest and safest procedure for kidney stones and also the least expensive
Mini PCNL uses a 4 to 6mm hole to remove kidney stones in one sitting.
The effectiveness of this surgery to remove kidney stones is nearly 100%
PCNL procedure called percutaneous nephro-lithotripsy is the gold standard for stone management in the kidney
Scarless kidney stone treatment using laser is possible through retrograde Intra-renal Surgery.
The procedure requires placement of a stent and also requires administration of anesthesia.
RIRS uses the latest technology and is the most modern surgery for kidney stones. Of course it comes at a cost.
Discuss your options with Dr. Raman
Every stone is different and the treatment needs to be customized based on patients preferences, urgency and severity of symptoms and economics. You can discuss your concerns with Dr. Raman Tanwar who has experience in successfully treating over 15000 patients with stone disease.
You can also read about each treatment individually in the sections down below. More details about each surgical modality are available on the links mentioned in the sections.
Ureterorenoscopy is a scarless surgery where the stones stuck in the lower part of the ureter are removed through natural urinary opening using an endoscope called the ureteroscope.
This surgery typically takes 15 to 30 minutes depending on the size of the stone
The surgery can be done in both regional as well as general anesthesia
Stent may be required after this procedure especially if there is a lot of infection or significant kidney swelling (Hydronephrosis)